Presentation on theme: "Personal Protective Equipment Use in Chemotherapy Administration"— Presentation transcript:
1Personal Protective Equipment Use in Chemotherapy Administration Stacy J. Ravert, RN, BSNMaster’s of Nursing CandidateUniversity of WashingtonSchool of NursingStacy I don’t see the aerosolization slide. Betty
2What is Personal Protective Equipment (PPE)? Personal protective equipment includes:GlovesGownsShoe coversFace/eye protectionNIOSH approved respirator
3Why are PPE important1970’s found secondary cancers in patients who had received chemotherapy agentsResearchers have reported that nurses who are exposed to chemotherapy agents have increased incidence of cancersDermal exposure is thought to be the primary route of exposure to chemotherapy agents.Inhalation may also be a significant source of exposure.
4Skin Exposure to Chemotherapy Dermal exposure from chemotherapy spill. Scaring is likely to occur.Photo courtesy of: James Tinguely, TycoHealthcare
5I Should Use PPE When: Preparing chemotherapy Introducing or withdrawing needles from vialsTransferring drugs using needles or syringesOpening ampulesExpelling air from drug filled syringesAdministering all hazardous drugs by any route
6I Should Use PPE When:Spiking IV bags and changing any tubing in the biological safety cabinetNote: IV tubing should not be spiked at the point of administrationPriming IV tubingHandling leakage from tubing, syringe, and connection sitesDisposing of hazardous drugs and items contaminated by hazardous drugs
7I Should Use PPE When:Handling the body fluids of a patient who received hazardous agents in the past 48 hours (longer if the hazardous agent has a longer half life)Cleaning up of hazardous agent spills
8Gowns Should be: Lint free Made of low permeability fabric i.e. polyethene-coated materialHave a solid frontLong sleevesTight cuffsBack closurePhoto courtesy of Tycohealthcare
9GlovesAre essentialMust be worn at all times when handling drug packaging, cartons, drug vials, inventory control procedures, and when gathering hazardous drug and supplies.Gloves should be powder free.Wash hands thoroughly prior to and after donning gloves.Photo courtesy of Tycohealthcare
10Gloves continued Gloves should be worn for no more than 30 minutes Change gloves immediately if:They are tornPuncturedKnowingly contaminatedUse thick GlovesUse gloves long enough to cover gown cuffs.Photo courtesy of Tycohealthcare
11Gloves ContinuedGloves worn to handle chemotherapy agents should be disposed of as hazardous wasteGloves must be tested for use with chemotherapy agentsDouble gloveMeets ASTM Standard D6319 (as noted on glove box)
12Double gloves and ASTM Standard Nurses should double glove even when using gloves conforming to the ASTM standard to prevent potential skin contamination in the following situations:Gloves become inadvertently tornWhen removing contaminated glovesIn the event of a glove puncture
13What is ASTMASTM International is an international voluntary standards organization that develops and produces technical standards for materials, products, systems and services. It was formed in 1898 in the United States as the American Society for Testing and Materials by a group of scientists and engineers.
14ASTM Standard D6319This test measures the resistance of protective clothing materials to liquid or gaseous chemicals under the condition of continuous contact.For chemotherapy gloves the standard is 30 minutes.
15Shoe covers Use if there is a potential for floor contamination Use if cleaning up a chemotherapy spillRemove shoe covers with gloved hand before leaving areaDiscard shoe covers as hazardous waste
16Masks Surgical masks DO NOT provide adequate protection Use a NIOSH approved respirator (N95) that has been fit-testedWear if air contaminated.Must comply with OSHA’S respiratory protection standardUse when cleaning up drug spillsNIOSH Approved maskPhoto courtesy of Tycohealthcare
17Use Facial ProtectionIf possibility for splashing or uncontrolled aerosolization will occurIf goggles or safety glasses will not provide enough protectionOSHA recommends to use a NIOSH approved respirator
18Web links to resources OSHA: Hazardous Drugs OSHA Technical Manual Section VI, Chapter 2ASHP Pre-publication guidelinesNIOSH Alert: Preventing Occupational exposures to antineoplastic and other hazardous drugs in the health care setting
19ReferencesAmerican Society of Health-System Pharmacist. ASHP Guidelines on Handling Hazardous Drugs. Accessed April 24, 2006, fromCenters for Disease Control (2004). NIOSH Alert: Preventing Occupational exposures to antineoplastic and other hazardous drugs in the health care setting. Accessed April 24, 2006, fromOccupational Safety Health Administration (last updated March 2, 2004). OSHA Technical Manual: Section VI: Chapter 2. Retrieved April 23, 2006, fromPolovich, M., White, J. M., Kelleher, L.O. (eds.) (2005). Chemotherapy and biotherapy guidelines and recommendations for practice. Pittsburgh, PA: Oncology Nursing Society.